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Organization
JULIE C. SPIVEY, D.M.D., P.L.L.C.
Active
Organization
JULIE C. SPIVEY, D.M.D., P.L.L.C.
Active
Other names
Lake Norman Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE C. SPIVEY DMD (OWNER/MANAGER)
(205) 540-6928
Entity
Organization
Contact information
Practice address
407 N NC 16 BUSINESS HWY, DENVER, NC 28037-6003
(205) 540-6928
Mailing address
1716 WILMORE DR, CHARLOTTE, NC 28203-4343
(205) 540-6928
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10515
NC
Other
Enumeration date
05/12/2018
Last updated
05/12/2018
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